Evidence generation plan for digital therapy for chronic tic disorders and Tourette syndrome: ORBIT
5 Minimum evidence standards
There is some clinical evidence that suggests that the Online Remote Behavioural Intervention for Tics (ORBIT) technology may improve symptoms of tic disorders and Tourette syndrome in children and young people. The developer did not report any safety concerns when using the digital technologies to support treatment of tic disorders and Tourette syndrome.
For new technologies, the committee has indicated that it may in the future be able to recommend technologies in this topic area that have evidence for:
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a beneficial impact of the digital technologies compared with standard care for treating tic disorders and Tourette syndrome without digital technologies
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a clinical improvement in tic disorders and Tourette syndrome using the Yale Global Tic Severity Rating Scale total scores, the Clinical Global Impression Score – Improvement, and ideally the Goal Based Outcomes scale
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improvements in overall patient quality of life
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resource use associated with the technologies and NHS standard care
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intervention acceptance, completion rates, patient preference, and uptake rates
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the safe use of the technology (including all adverse events).
The developer can strengthen the evidence base by also having evidence for the effectiveness of the technology in people with different comorbidities.
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